Individual provider Active NPI

Colleen M Stortvedt, LIMHP, CPC

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1649236597
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2244 Issued in NE
Practice address
333 W Norfolk Ave
Ste 201
Norfolk, NE 68701-5401
Phone
(402) 379-2030
Fax
(402) 379-3933
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1252 NE
Mental Health Counselor 101YM0800X 2244 NE Primary

Addresses

Primary practice location

333 W Norfolk Ave
Ste 201
Norfolk, NE 68701-5401

Mailing address

333 W Norfolk Ave
Ste 201
Norfolk, NE 68701-5401
Phone (402) 379-2030

Other identifiers 4

IdentifierTypeStateIssuer
39189435426MedicaidNE
153885000OtherNEMAGELLAN
84248OtherNEBC/BS
232039OtherNEMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321002691 NE Practitioner - Mental Health Counselor 3274970538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Counseling InternationalGroup PAC ID 1456367168, 12 clinicians

Practice addresses (Care Compare)

333 W Norfolk Ave
Norfolk, NE 68701-5221
Phone 4023792030201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2244NEMDProfessional Counselor
1252NEMDDental Hygienist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1649236597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE",
            "address_2": "STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015401",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE",
            "address_2": "STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015401",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORTVEDT",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1252",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39189435426",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "153885000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "84248",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "232039",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.